27 chronic conditions coveredChronic medication is subject to the Core
Formulary list of medicines and a Formulary
Reference Price (FRP). Members are required
to register for all chronic conditions.

Chronic medication is unlimited, subject to the medicine formulary and if prescribed by a
Universal Network
Provider and dispensed within a Universal Network pharmacy or dispensing
Universal network GP. Any
voluntary use of chronic medicine prescribed by out-of-network providers and any non-formulary
medicines are for the member? own account, unless pre-authorised by the medical advisor.
PMB rules apply.

Two out-of-area visits p/b per annum (20% co-payment at point of service limited
to a maximum of R1 050 per event, (including medicine, pathology and radiology)
excluding facility fees.

Acute medication - unlimited if prescribed by a Universal; Network GP, or by specialist provided member reffered by a Universal Network GP.Subject to medicine formulary
to Formulary.No cover for a non-formulary medicines unless otherwise pre-authorised.No cover in case of voluntary use of non-Universal Providers, or voluntary use of specialist without refferal by a Universal Network GP.